<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Opt_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-opt_date" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[opt_date]" type="text" value="{$row.opt_date}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" data-role="autocomplete" type="text" value="{$row.name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Mobile')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-mobile" class="form-control" name="row[mobile]" type="text" value="{$row.mobile|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-address" class="form-control" name="row[address]" type="text" value="{$row.address|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Price')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-price" min="0" class="form-control" step="0.01" name="row[price]" type="number" value="{$row.price|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lanzhuang_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lanzhuang_id"  class="form-control " name="row[lanzhuang_id]" type="text" value="{$row.lanzhuang_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Lan_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-lan_fee" class="form-control" step="0.01" name="row[lan_fee]" type="number" value="{$row.lan_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ptype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-ptype" class="form-control selectpicker" name="row[ptype]">
                {foreach name="ptypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.ptype"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Zhuang_date')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-zhuang_date" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[zhuang_date]" type="text" value="{$row.zhuang_date}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shouli_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shouli_id"  class="form-control " name="row[shouli_id]" type="text" value="{$row.shouli_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Shouli_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-shouli_fee" class="form-control" step="0.01" name="row[shouli_fee]" type="number" value="{$row.shouli_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('An_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-an_id"   class="form-control" name="row[an_id]" type="text" value="{$row.an_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('An_fee')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-an_fee" class="form-control" step="0.01" name="row[an_fee]" type="number" value="{$row.an_fee|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_jiding')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_jiding" class="form-control selectpicker" name="row[is_jiding]">
                {foreach name="isJidingList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.is_jiding"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Jd_money')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jd_money" class="form-control" step="0.01" name="row[jd_money]" type="number" value="{$row.jd_money|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_quanwu')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_quanwu" class="form-control selectpicker" name="row[is_quanwu]">
                {foreach name="isQuanwuList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.is_quanwu"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Qw_money')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-qw_money" class="form-control" step="0.01" name="row[qw_money]" type="number" value="{$row.qw_money|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_quanguang')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_quanguang" class="form-control selectpicker" name="row[is_quanguang]">
                {foreach name="isQuanguangList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.is_quanguang"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Qg_money')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-qg_money" class="form-control" step="0.01" name="row[qg_money]" type="number" value="{$row.qg_money|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Is_kanjia')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-is_kanjia" class="form-control selectpicker" name="row[is_kanjia]">
                {foreach name="isKanjiaList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.is_kanjia"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gtype')}:</label>
        <div class="col-xs-12 col-sm-8">
                        
            <select  id="c-gtype" class="form-control selectpicker" name="row[gtype]">
                {foreach name="gtypeList" item="vo"}
                    <option value="{$key}" {in name="key" value="$row.gtype"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Remark')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-remark" class="form-control" name="row[remark]" type="text" value="{$row.remark|htmlentities}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
